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DEPARTMENT OF INSURANCE
Affiliations
Name
Kentucky Southern Insurance, LLC
DOIID
800296
NAIC NPN
16853602
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Active
Resident
Agent
Property
12/26/2012
3/31/2026
Active
Resident
Agent
Life
12/26/2012
3/31/2026
Active
Resident
Agent
Health
12/26/2012
3/31/2026
Active
Resident
Agent
Casualty
12/26/2012
3/31/2026
* If a status Is
Pending, Pending Replacement
,Or the record displays
Affidavit On File
, click On them For more details.
Appointments with the following Insurers
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Active
All Savers Insurance Company
301940
Agent - Health
4/21/2023
Active
All Savers Insurance Company
301940
Agent - Life
4/21/2023
Active
Anthem Health Plans of Kentucky, Inc.
300999
Agent - Health
1/25/2013
Active
Anthem Insurance Companies, Inc.
300941
Agent - Health
6/12/2021
Active
Anthem Life Insurance Company
301209
Agent - Health
1/25/2013
Active
Anthem Life Insurance Company
301209
Agent - Life
1/25/2013
Active
Banner Life Insurance Company
301696
Agent - Life
9/6/2013
Active
Cincinnati Life Insurance Company (The)
300601
Agent - Life
4/20/2022
Active
Colonial Life and Accident Insurance Company
300846
Agent - Health
1/9/2013
Active
Colonial Life and Accident Insurance Company
300846
Agent - Life
1/9/2013
Inactive
CompBenefits Dental, Inc.
591692
Agent - Health
3/3/2016
12/13/2016
Active
CompBenefits Insurance Company
301864
Agent - Health
1/5/2021
Inactive
Dearborn Life Insurance Company
300401
Agent - Health
3/8/2013
12/8/2017
Inactive
Dearborn Life Insurance Company
300401
Agent - Life
3/8/2013
12/8/2017
Active
Dental Care Plus Inc.
301495
Agent - Health
2/25/2013
Active
Dental Concern Inc. (The)
301641
Agent - Health
7/5/2023
Active
Fidelity Security Life Insurance Company
300466
Agent - Health
1/27/2021
Active
Fidelity Security Life Insurance Company
300466
Agent - Life
1/27/2021
Inactive
Gerber Life Insurance Company
300529
Agent - Health
4/1/2021
8/18/2023
Inactive
Gerber Life Insurance Company
300529
Agent - Life
4/1/2021
8/18/2023
Active
Guardian Life Insurance Company of America
301316
Agent - Health
1/14/2013
Active
Guardian Life Insurance Company of America
301316
Agent - Life
1/14/2013
Inactive
Humana Health Plan of Ohio Inc.
301565
Agent - Health
2/22/2016
12/13/2016
Active
Humana Health Plan, Inc.
300142
Agent - Health
1/7/2013
Active
Humana Insurance Company
301104
Agent - Health
1/18/2023
Inactive
Humana Insurance Company
301104
Agent - Life
1/7/2013
12/13/2022
Active
Humana Insurance Company of Kentucky
300826
Agent - Health
1/18/2023
Active
Humana Insurance Company of Kentucky
300826
Agent - Life
1/18/2023
Inactive
Kanawha Insurance Company
300127
Agent - Health
1/7/2013
12/8/2017
Inactive
Kanawha Insurance Company
300127
Agent - Life
1/7/2013
12/8/2017
Inactive
Kentucky Health Cooperative, Inc.
798780
Agent - Health
10/21/2013
10/29/2015
Active
Metropolitan Life Insurance Company
301948
Agent - Health
1/17/2013
Active
Metropolitan Life Insurance Company
301948
Agent - Life
1/17/2013
Inactive
Mutual of Omaha Insurance Company
301012
Agent - Health
2/11/2016
12/22/2016
Inactive
Omaha Insurance Company
751908
Agent - Health
2/11/2016
12/22/2016
Active
Principal Life Insurance Company
300129
Agent - Health
11/22/2021
Active
Principal Life Insurance Company
300129
Agent - Life
11/22/2021
Inactive
Provident Life and Accident Insurance Company
301525
Agent - Health
1/4/2021
11/30/2023
Inactive
Provident Life and Accident Insurance Company
301525
Agent - Life
1/4/2021
11/30/2023
Active
Pruco Life Insurance Company
300954
Agent - Life
10/6/2015
Active
Standard Insurance Company
300185
Agent - Health
1/6/2013
Active
Standard Insurance Company
300185
Agent - Life
1/6/2013
Inactive
Starmount Life Insurance Company
628031
Agent - Health
1/4/2021
11/30/2023
Active
Sun Life Assurance Company of Canada
301811
Agent - Health
3/7/2019
Active
Sun Life Assurance Company of Canada
301811
Agent - Life
3/7/2019
Inactive
UNUM Life Insurance Company of America
300817
Agent - Health
1/4/2021
11/30/2023
Inactive
UNUM Life Insurance Company of America
300817
Agent - Life
1/4/2021
11/30/2023
Inactive
Union Security Insurance Company
301844
Agent - Health
3/11/2013
12/21/2020
Inactive
Union Security Insurance Company
301844
Agent - Life
3/11/2013
12/21/2020
Inactive
United of Omaha Life Insurance Company
300156
Agent - Health
2/11/2016
12/22/2016
Inactive
United of Omaha Life Insurance Company
300156
Agent - Life
2/11/2016
12/22/2016
Active
UnitedHealthcare Insurance Company
300946
Agent - Health
9/28/2016
Active
UnitedHealthcare Insurance Company
300946
Agent - Life
9/28/2016
Active
UnitedHealthcare of Kentucky, Ltd.
301337
Agent - Health
9/28/2016
Active
UnitedHealthcare of Ohio, Inc.
300493
Agent - Health
4/14/2022
Inactive
Unum Insurance Company
301499
Agent - Health
1/4/2021
11/30/2023
Inactive
Unum Insurance Company
301499
Agent - Life
1/4/2021
11/30/2023
Designated Individuals
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Active
Meyer, David Thomas
317538
Agent - Casualty
12/26/2012
Active
Meyer, David Thomas
317538
Agent - Health
12/26/2012
Active
Meyer, David Thomas
317538
Agent - Life
12/26/2012
Active
Meyer, David Thomas
317538
Agent - Property
12/26/2012
Inactive
Winokur, Gregory H
631819
Agent - Health
12/11/2019
1/1/2024
Inactive
Winokur, Gregory H
631819
Agent - Life
12/11/2019
1/1/2024
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